女性丛集性头痛的临床特点观察

目的探讨女性丛集性头痛(CH)的临床特点、合并症状及诊断标准。方法对23例女性CH患者(1990-03～2001-11)和同期随机选择的40例男性患者进行对比分析。结果女性有20～29岁和50～59岁两个高发病年龄段,男性仅30～39岁一个高发病年龄段;女性CH头痛持续时间稍短于男性;有6例女性患者在20岁左右和30岁左右有过3～4次典型发作,直到50岁后才发展达到诊断标准。女、男患者有约50%左右的合并恶心、呕吐、畏光或恐响症。结论女性CH临床特点除头痛发作持续时间短于男性外,其他特点无显著性差异(P>0.05);发病年龄女性有两个高发病年龄段;CH患者约有40%～80%的在发作时合并恶心、呕吐、畏光和恐响症,这4项症状被排除诊断标准外有可能降低CH的流行病学结果,部分女性病例需较长时期发展到诊断标准。

Clinical characteristics of female patient with cluster headache

Objective To probe into the clinical characteristics, associated symptoms and diagnosis standard. Method The 23 female patleuts with cluster headache (CH) were assembled; their clinical features and onset process were observed, and compared with 40 male patients with CH, who were selected random at same term. Results For female, there were two age-segments of high incidence(20-29 years and 50-59 years), but for male only one (30-39 years); the headache continuation duration of female patients was longer than that of male patients. At the age-segment (about 20, and 30 years), six female patients had 3-4 times of classic onset, but after age of 50 years, their symptom and signs just developed to diagnosis criteria. Both female and male, about 50% of them, were associated with nousea, vomiting, photophobia and soundophobia. Conclusion Except for headache continuation duration, there no significant difference between female and male in clinical features; female has two age-segment of high incidence; the patients with CH, about 40%～80% of them, are associated above foure complicances, if the four symptoms are excepted, the epidemiologic results of CH could be decreased. Besides, it takes for a longer duration that the part of female patients would develop to diagnosis criteria.